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Is Ginkgo biloba extract Safe with Warfarin?

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Warfarin Ginkgo biloba extract
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Free · No account · based on published sources including NIH ODS, FDA drug labels, and peer-reviewed literature

WHAT YOU NEED TO KNOW

Avoid taking Ginkgo biloba supplements while on warfarin. If currently using both, inform your doctor immediately and have your INR checked. Do not start Ginkgo biloba without prior consultation with your healthcare provider if you are on warfarin.

Why this interaction occurs

Pharmacist case reports identified adverse events in patients taking Ginkgo biloba extract concurrently with warfarin. Ginkgo biloba has known antiplatelet properties that can compound warfarin's anticoagulant effect, increasing hemorrhagic risk.

Evidence

Evidence level: limited.

Data source

PubMed - PMID 32378676

Reported safety data

The FDA’s adverse event reporting system (FAERS) has received 134,328 reports mentioning Warfarin. This reflects reported cases involving the medication in general — not confirmed causation, and not specific to the Warfarin + supplement combination on this page.

FAERS reports are voluntary and cannot prove that a drug caused an event. Do not use report counts to assess the safety of this specific drug-supplement pair.

Frequently asked questions

Can I take Ginkgo biloba extract with Warfarin?
Avoid unless your doctor or pharmacist directs otherwise. Avoid taking Ginkgo biloba supplements while on warfarin. If currently using both, inform your doctor immediately and have your INR checked. Do not start Ginkgo biloba without prior consultation with your healthcare provider if you are on warfarin.

Related interactions

All Ginkgo biloba extract interactions →  ·  All Warfarin interactions →

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Educational only — not medical advice.
Always confirm with your doctor or pharmacist.